Individual
MARIANA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11549 S KNOX AVE, ALSIP, IL 60803-2234
(708) 489-2182
Mailing address
11549 S KNOX AVE, ALSIP, IL 60803-2234
(708) 489-2182
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014715
IL
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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